P&a RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY30972 Issued in CA

Legal business name

P&A RX INC

Practice address

2727 W Olympic Blvd
Ste 103
Los Angeles, CA 90006-2637

Phone

(213) 738-6970

Fax

(213) 738-0152

NPI assigned

Aug 10, 2006

Organization subpart

No

Name

Hyomin Angela Kim

Title

Ceo

Phone

(213) 738-6970

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hee Joon Kim

  • Pharmacist
  • La, CA
  • NPI 1710236377
  NPD (past)
• Soon Sea Woo

  • Pharmacist
  • La, CA
  • NPI 1639428162
  NPD (past)

Locations

• Koryo Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2024.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1992716484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-738-6970",
            "fax_number": "213-738-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062637",
            "telephone_number": "213-738-6970",
            "fax_number": "213-738-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&A RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYOMIN",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-738-6970"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY60424",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992716484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koryo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Los Angeles, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.